Many Iraqi refugee students in the United States suffer from posttraumatic stress disorder (PTSD) as well as acculturation stresses. These stresses often create challenges for their integration into U.S. schools. The project explored risk factors such as the length of educational gaps in transit, PTSD, and separation and marginalization acculturation, as well as protective factors such as resilience, self-esteem, and integration and assimilation. We conducted bivariate correlations and multiple regression to examine the relationship between factors and predicting school adjustment using variables among 100 Iraqi refugee high school students in the Detroit area. The results showed that the educational gaps (negatively), and assimilation and resilience (positively), are the strongest predictors for school adjustment. PTSD incurred by Iraqis as a result of events experienced before and during their migration from Iraq are related to their self-esteem and separation acculturation, while educational gaps are related to their marginalization as well as to their integration.