This study looks closely at how 7 North American Institutions of higher education have developed highly focused, intensive English as a Second Language programs to prepare immigrant and foreign students to study in North America. The rising middle and upper middle classes of low and middle income countries such as China, India, Saudi Arabia, Malaysia, Brazil and many other countries has created a surge in foreign students particularly interested in studying in one of the Big 4 countries of international higher education: the USA, the UK, Canada and Australia. This study, in addition to providing useful statistical information about the US foreign student and immigrant markets, presents detailed profiles of how Smith College, the State University of New York at Buffalo, the New School, DePaul University, Kirkland Community College, the University of Calgary, and Central Michigan University have developed ESL+ programs to teach English and encourage the social ties and links that lead to immigrant and foreign student success in North America. The report details how the above mentioned programs developed their programs, how they fit into their college's administrative structure, how they hire faculty, develop new programs, market their services and achieve their missions.