Elizabeth George was born Susan Elizabeth George in Warren, Ohio.
She is a graduate of University of California in Riverside. She also attended California State University at Fullerton, where she was awarded a master's degree in Counseling/Psychology and an honorary doctorate of humane letters
Professionally, she started out as a teacher. She was employed at Mater Dei High School in Santa Ana initially, but there she gave in to her bent for organized labor and was summarily fired along with ten other teachers for union activity. She moved on to El Toro High School in El Toro, California (now called Lake Forest, California), where she remained for the rest of her career as high school English teacher. While employed there, she was selected Orange County Teacher of the Year, a tribute in part to the work she'd done with remedial students for nearly a decade. She left education after thirteen and a half years when she sold her first novel, A Great Deliverance, to her longtime publisher Bantam Books.
