2021 GLOBAL KOREA SCHOLARSHIP Application

Checklist
REGISTRATION NUMBER

*Leave this table blank

Institution Receiving Application (접수기관) :

Person in Charge (확인자) :
Signature (서명)

1) Name of Applicant : IMANYYKA ISFIA

2) Country : INDONESIA

3) Desired Program: ☐ Doctoral Degree ☒ Master’s Degree ☐ Research

(*Please check (√) in the appropriate box.)

Submission
Application Documents Status
Yes No
1 (Form 1) Application Form √
2 (Form 2) Personal Statement √
3 (Form 3) Statement of Purpose √
4 (Form 4) Research Proposal * Research Program applicants ONLY
5 (Form 5) TWO Letters of Recommendation √
6 (Form 6) University’s Official Letter of Invitation * Research Program applicants ONLY
7 (Form 7) GKS Applicant Agreement √
8 (Form 8) Personal Medical Assessment √
9 Certificate of Bachelor’s degree or Bachelor’s Diploma (Original) √
10 Bachelor’s degree Transcript (Original) √
11 Certificate of Master’s degree or Master’s Diploma (Original)
12 Master’s degree Transcript (Original)
Certificate of Doctoral degree or Doctoral Diploma (Original)
13
*Post-Doctoral Research Program applicants ONLY
14 Doctoral degree Transcript (Original) * Post-Doctoral Research Program applicants ONLY
15 Certificate of Employment (Original) * Only applicable for relevant applicants
16 Applicant’s Proof of Citizenship Document (Original) √
17 Applicant’s Parent’s Proof of Citizenship Document (Original) √
18 Proof of Overseas Korean Document (Original) * Overseas Koreansadoptees ONLY
Proof of Korean Citizenship Renunciation Document (Original)
19
* Previous Korean citizenship holders ONLY
20 Proof of Korean Adoptee Document (Original) *Overseas Korean Adoptees ONLY
Certificate of Employment(teaching subject clearly indicated) (Original)
21 Certificate of Teaching Career(years taught specified) (Original)
* Applicants for Korean Language Teaching Professionals track ONLY
22 Certificate of Valid TOPIK score * optional
23 Certificate of Valid English Proficiency Test * optional
24 Published books & research papers, and etc. * optional √
25 Awards and other Certificates * optional √
26 Applicant’s Passport Copy * optional
27 Comprehensive Medical Examination Results * 2nd round successful candidates ONLY
 FORM 1. 2021 Global Korea Scholarship Application
Please check (☒) the following. Click the box to check or uncheck.

1. Application Track 추천기관

☒ Embassy 재외공관 ☐ University 국내대학
2. Type of Application 추천유형
☒ General 일반추천
☐ Research 연구과정 ☐ Science & Engineering majors of Regional University 지방대 이공계
☐ Overseas Koreans 재외동포 ☐ Korean Language Teaching Professionals 한국어교원
3. Desired Field of Study 희망계열
☐ Liberal Arts 인문계열 ☒ Social Science 사회계열
☐ Science 자연계열 ☐ Technology and Engineering 공학계열
☐ Arts and Sports 예체능계열 ☒ Education 교육계열
4. Program to Apply 지원과정
☐ Doctoral Degree 박사과정 ☒ Master’s Degree 석사과정 ☐ Research 연구과정
Please complete the form below. It must be typed in English ONLY.

Surname 성 Given Name 이름 Gender 성별

Marital Status
결혼여부
Full Name
IMANYYKA ISFIA
성명
☐ Male ☒ Single
☒ Female ☐ Married
*Please write your full name as indicated on your passport or official Photo
documents
Date of Birth 생년월일 Size: 3cm x 4cm
1995/01/06 Age 나이 26
(YYYY/MM/DD)

Country 국가 INDONESIA Citizenship 국적 INDONESIA

Korean Citizenship Applicant’s Parent(s) ☐ Yes ☒ No

Applicant ☐ Yes ☒ No
한국국적 여부 (if any one of your parents has Korean Citizenship, check ‘YES’)

Address
Rejasari NA/CA 1/7 Bojongsari, Kedungreja, Cilacap, Jawa Tengah 53263
Contact Information
Phone (Must start with the country code)
연락처 +62 81903453674
*Must be applicant’s
E-mail
piaisfia601@gmail.com
Universitas Islam Negeri
Location (City, Country)
University Name 학교명 (UIN) Sunan Kalijaga Sleman, Indonesia
소재국가/도시
Yogyakarta
☒ Bachelor’s
Most Recently Attende Achieved or Expected Deg
☐ Master’s Major 전공 Physics Education
d University 최종학력 ree 학위
☐ Doctoral
Degree Thesis Title Development Of Problem-Based Science Learning Module On The Topic Of Light
최종학위논문제목 For Class VIII General/Islamic Lower Secondary High School
English Proficiency Type Score
Language Abilities TOPIK Level
☐1 ☐2 ☐3 ☐4 ☐5 ☐6 Test Scores - -
어학능력 한국어능력시험성적
영어공인성적
Published books &
-
research papers
 Development Of Problem-Based Science Learning Module On The Topic Of Light For Class VIII General/Islamic
Thesis.
Lower Secondary High School
Awards -
Choice of University
Major 세부전공
& Major University 대학 Division 계열 Department 학과
(optional)
지원신청대학
Choice 1 Humanities and Social
Korea University Education Educational Psychology
(Type A & B) Science
Choice 2
(Type A & B)
Choice 3 Humanities and Social Educational Psychology
Keimyung University Education
(ONLY Type B) Science and Technology
※ Please refer to section III. AVAILABLE UNIVERSITIES AND FIELDS OF STUDY in the application guidelines.
 Embassy Track applicants must choose THREE different universities and majors.
(For choice 1 and 2, you may choose universities among Type A & B. For Choice 3, you MUST choose a university from Type B)
 University Track applicants must choose ONE university and major. (Choose among Type A & Type B)
Period 기간 University/ Institution 학교명 Country 소재국 Major 전공분야 Degree 학위
STATE ISLAMIC UNIVERSITY
Previously
2012-2019 (UIN) SUNAN KALIJAGA INDONESIA PHYSICS EDUCATION Bachelor
Achieved
YOGYAKARTA
Degree(s)
학력 - - - - -

- - - - -
Cumulative G
School Score Percent
1st year 2nd year 3rd year 4th year 5th year 6th year 7th year PA (CGPA)
GPA* Year ile 환산점수
평균평점
(ONLY for
Term/
terms or
Semester 1 2 1 2 1 2 1 2 1 2 1 2 1 2
semesters
completed) 3,35 3,43 2,89 3,30 3,35 3,39 4,0 4,0 4,0 / 4,0 / 4,0 / 4,0 / 4,0 / 3,50 /
Bachelor’s 3,34 / 4,0 88 / 100
성적 /4,0 /4,0 /4,0 /4,0 /4,0 /4,0 /4,0 /4,0 4,0 4,0 4,0 4,0 4,0 4,0
(이수
학기만) Master’s - - - - - - - - - - - - - - - -/ 100
Doctoral - - - - - - - - - - - - - - -/ 100
*If needed, you may add additional columns to the term or semester section. You can write either the CGPA or Score Percentile
Period Institution/ Company Position Responsibilities
Integrated Laboratory of
In help as a laboran and
State Islamic Universitas
Employment or 2016-2017 Physics Laboratory Asisten lecturer asisten of Physics
(UIN) Sunan Kalijaga
Professional Research practicum
Yogyakarta
Experience Vocational High School of Teaching Physics and
직업 혹은 연구경력 2020-current Teacher
Amirul Mu’minin Sidareja Chemistry
Islamic Lower Secondary Teaching Science and
2020-current School of SA Riyadhul Teacher organizing science
Muta’alim Kedungreja laboratorium
Previous Visits to Period Purpose of Stay City or Region Affiliated Organization
Korea 과거 한국
- - - -
거주 또는
체류 사실 - - - -
Previously Received Grant Amount 지원금액
Sponsor 지원기관 Period 수혜기간
Scholarship Awards (USD/year)
from Korean
- - -
institutions
장학금 수혜 - - -

2021 년 2월 21 일

Applicant's Name : ISFIA IMANYYKA (signature)

 FORM 2. PERSONAL STATEMENT
Revolutionizes Industry have hard on humans and the environment, moreover Covid-19 pandemic lately
has changed our environment and people’s value becoming increasingly diverse and complex. Therefore We
was in a challenge age of uncertainty. Surely education was one of way to face it. According to OECD future
of education Skill 2030 education has a vital role to in developing knowledge, skill, attitudes and values that
enable people to contribute to and benefit from challenge. That was one of the reasons I enhance to choose a
teacher as my affair. (I don’t think so you have to write this part, first they probably have better knowledge on
it, second this is your own personal statement not a paper/journal. I think it will be good if u talk ur experience
on teaching in school and all difficulty u face during the pandemic). After first I am growing and seeing have
been watching my father who worked as a teacher in frontier regions. He showed inspired me a spirit of
helping others with optimistic and hard-working, enjoyed sharing and improveding other knowledge level. My
father was is my greatest motivation have who always been supporting me to do my best on whatever I did do.
My parent was loved helping others as simply things such as given stray cats some chicken we eaten . My
family’s (before, you talk about ur greatest support from ur father, so be consistent) His supporting have been
making me become a good student with best three grades during my schools has been motivating me to be a
good student with the best three grades during my study and inspiring me to become a teacher right now.
Furthermore, my insatiable (curiosity?) about knowledge of nature inspired me to study Science that
takes me more curious especially (open my mind?) about fundamental Science. During my study, I have been
active as a fellow member of the journalistic division of student council, I gain strengthen in my public
speaking skill there (it will be good if u write what u r doing there, i.e. making interview, writing a bulletin
once a week. And besides gain an ability of public speaking, I think we also obtain ability on writing). Besides
that, I have been working as a high school tutor in an academy, and did assisted and being an assistant in
Physics Laboratory (what are you doing? What skill you obtain?). Not only join some clubs such as
multimedia education club and creative educational props (I know wht you mean is ‘alat peraga’ but I think
this is not a good term, I don’t know either how it should be, may be ‘physics craft’?) club which has made
innovation improves engagement (I don’t understand this part), but also gone to visit an orphanage regularly to
play with kids and help to solve their homework or some problem in school to help childrens there deepen
learned some school lessons or playing and listened to them on the weekends. There, I realized that I loved to
listen and observed to other’s life story. I gain lessons learn based on someone’s experiences from what other
faced. Then without I realized, a lot of my friends have been telling their problems faced to me without I
request for. It is proven by so many friends who love to share their story to me and tell their own problem in
their life. I believe if I become good to another creature, good deeds back to me too. I believe if I am doing
good, a good feed-back will come on me. I learn to manage all my busyness beside study with hardworking
and diligently I achieved it.
(thing that I observe that you don’t have to write all experience you did, just write one or two, but explain it
deeply. what you were doing? Wht lesson you obtain? And why it becomes an important moment that creates
ur point of view or ur dream today?)
Evon so all I’ve become nothing (don’t write this!) when I lost my father in the middle of my thesis
process. That was my deep difficulties I ever faced in my life. My father was passed away when I was writing
my bachelor thesis. It became my hardest time in my life. I lost my confidence and motivation to continue my
life living. I almost not finish my studied. My friends and people around me have been helping me a lot. In my
adversity, I found an interesting hobby to self study about Korean through the drama with education topic
which made my spirit up and gradually my confident return. Although my graduate was later than other , (I got
more skill in Korean language and other point of view of education system) students who studied bachelor.
After graduated, I came back to my hometown after my graduation and became a teacher in school. Facing I
faced difficulties on teaching as an impact of Covid-19 impact in a especially in small village like mine.
countryside, watching I observed childrens with poor economic family who come from low-income family
can’t get a proper education because especially during the pandemic made my heart touched. In the middle of
my work as a teacher in two private school, I call the neighbour’s childrens in my neighbour after finishing
work every weekday and make little academy explaination to help them who cannot understand better the
lesson go to from the school and reviewing lesson from elementary until high school student in my home. The
assignment and experience material here was just sent through WhatsApp and there is no follow up from the
teachers, it was contradicted with learning which should be.
 My life and work experience and work open my view that the huge reason biggest motivation for human
life was self motivation, not from others. Since every individu is unique, they have their own motivation to
study. I used different method to educate students could get knowledge well to get better knowledge, but and I
realize not all methods was is suitable for every student because their motive to study was different. Every
method has their characteristics and thinking skill target which should applied after analyzed the student
motivation. I realized that my expertise to understanding student moreover family who takes the enormous part
in student motivation. As a teacher, I should have understood student cognitive behavior. Knowledge about
child development I get from the course I have taken actually took is just a basic that just basic education.
Knowledge will make someone more sensitive and considerate of their surroundings. For the most part , as a
teacher to aware student behavior and human behavior generally much better was is more essential,
understanding knowing student cognitive development emotion to made outstanding student teaching
outcomes. However that’s will be my motivation for applying this program. I want to help others with my skill
in the field I interest in. I want to prove myself, although I take time to finished my bachelor I could contribute
to community and motivated student in their interest.
My interest in Korean languages made I get a lot of information about Korea education from my Korean
friends. Although I know Korean friends through social media they are really generous and kind to sharing
information to me. South Korea as an extraordinary higher education system amongst successful country in the
world. I believe that going to take education in main value the idea of education is key to success. When I
know about GKS I really excited will not miss chance to apply it. GKS open the oputinities many students to
feel new study environtment.
 FORM 3. STATEMENT OF PURPOSE
Language Study o Study plans to improve foreign languages(Korean, English, etc) required for taking a
Plan degree course BEFORE and AFTER you come to Korea.
Advance technology now days made study foreign language easier than past years ago nor it study by self or on
courses. It was my pleasure for me who loving languages. English as a bigger the biggest international language
is must for learners to open more knowledges from over the world. Studying English have been doing since I
was in elementary till now and future of course. I have been study English since I was in elementary school til
now. I have been known the basic English in general, but I knew my skill not that good . Before I come to Korea
I will take online English courses in Titik Nol Kampung Pare for 3 month to improve my English speaking and
writing skill to mastering IELTS for my master study needed. I am going to practice reading and improve my
vocab through one day one online English journal of Psychology or Education which related to my major before
and after I come to Korea.
Korean language was is my favorite language among other languages. I be able to speak English, Arabic, Bahasa
Indonesia, Javanese, and Sundanese. I knew the Korean language for the first time through education drama
about school “Queen Classroom” thus made me fall in love with it. Hence I start studied Hangeul and writed it
by my self, watching old family dramas through and so many variety show to open knowledge about Korean
language, cultures and history. Through Korean language mobil app lingo Deer, website and Youtube channel of
Talk To Me in Korean, I improved my basic speaking and writing skill. I practicing what I have learned to some
Korean friends through sosial media, and it was really helping me lot to comunicate adn impoved writing skill. I
have been planing to take TOPIK I test in April 2021 before I going to Korea, but canceled because Covid-19
and have to wait until next test. Before going to Korea I will improved reading skill through Yonsei Koreaan 1-1
until 6-2 e-books I got from kr.b-ok.as. Moreover, I going to prepar for TOPIK II through self-study package
material from topikguide.com to make it efisisnce when I study language in Korea after. I targeted to get TOPIK
level 4 at first semester and get level 5 or 6 at second semester of my language study after I was in Korea. Beside
join language class and studying Korean through class, I will socializing with local to improve my Korean
language acquisition.
Goal of study &
o Goal of study and detailed study plan
Study Plan
My study goal is to gain more knowledge an the area of educational psychology. Educatinal psychology is a

Future Plan
o Future plan in Korea or another country after study in Korea
after Study
 FORM 7. GKS APPLICANT AGREEMENT

As an applicant for 2021 Global Korea Scholarship for Graduate Degree, I agree to abide
by the following;

※ Please read each article, check each box and sign below.

(1) The information I have provided in this application forms are true and accurate and all
documents I submitted to the National Institute for International Education (hereafter
NIIED) are genuine. ☒

(2) I understand that all the documents submitted to NIIED for GKS will not be returned
regardless of the final outcome of the selection process. ☒

(3) I will abide by all the Korean laws and ordinances. ☒

(4) I will respect and uphold the values of the Korean culture and society. ☒

(5) I will fulfill my responsibilities as a GKS scholar to the best of my abilities. ☒

(6) I will not participate in any form of political activities (such as organizing or joining a
political party, attending political meetings, publishing articles and declarations, and
organizing or participating in political demonstrations). ☒

(7) I will maintain financial integrity at a personal level. ☒

(8) I accept NIIED’s decision concerning graduate degree, research program and the Korean
language program. ☒

(9) I understand that once I am selected as a GKS scholar. I am not permitted to change the
university, either for the Korean language program or for the degree and research
program. ☒
 (10)I will abide by the academic regulations and requirements of NIIED, Korean language
institution, and university. ☒

2021/02/21 ISFIA IMANYYKA

Date(yyyy/mm/dd) Applicant’s Name (Signature)

(continued in the next page)

(11)I understand that if I have any dependents that will accompany me to Korea, I am
responsible for all matters concerning those dependents such as visa issuance and that
NIIED will not provide any extra expenses or support in regards to my dependents. ☒

(12) I give permission to NIIED, the Ministry of Education of Korea, the Ministry of
Foreign Affairs of Korea, the Ministry of Justice of Korea, and affiliated institutions to
use the contact information provided in my application for the purpose of visa issuance,
communication, conducting surveys, and sharing information as needed. I give
authorization for photos and video of me to be taken during GKS orientation and used in
any promotional or educational materials. ☒

(13) I hereby authorize NIIED to verify the information disclosed in this application
form and the documents required by GKS as well as to collect any other information
deemed necessary by GKS to determine my suitability as an applicant from any
institution, organization or individual issuing said information and/or documentation.
This includes but is not limited to contacting recommendation referees or previous
employers. ☒

(14) I hereby understand that all information provided to NIIED will be stored in
secured servers where access will be limited to GKS team and its affiliates. I understand
that all reasonable efforts will be made to protect confidential and sensitive information.
By signing below and submitting my application, I agree to these terms. ☒

(15) I understand that failure to uphold any of the above statements may be grounds
for termination of my scholarship offer. ☒

I confirm that I read all of the above conditions. I also understand that the violation of
any one of the above might result in suspension or cancellation of the scholarship.
2021/02/21
Date(yyyy/mm/dd) Applicant’s Name (Signature)
 FORM 8. PERSONAL MEDICAL ASSESSMENT
Attention! This form is just a personal medical assessment and applicants do not need to get a comprehensive
medical examination at this stage. However, all applicants who pass the 2 nd round of selection must receive
comprehensive medical checkup and submit the certificate of health and medical examination result issued by a
medical doctor or a licensed hospital. (The Certificate of Health form will be posted in the GKS Notice board
along with the announcement of successful candidates of 2 nd round of selection) After arriving in Korea, all GKS
scholars will be subject to a medical examination (including TBPE drug test) administered by NIIED in
accordance with the requirements of the Korea Immigration Service. If the results show that the applicant is
unfit to study and live overseas, he/she may be disqualified.

Gender ☐ Male ☒ Female HEIGHT 158,5 cm WEIGHT 52 kg

QUESTION YES NO IF YES, PLEASE EXPLAIN
Have you ever had an infectious disease that posed a
√
risk to public health (i.e., tuberculosis)
My skin turn redness and
Do you have allergies? √
itchy if I in dusty place
Do you have hyper tension? √

Do you have diabetes? √

Do you have any type of Hepatitis? √

Have you ever suffered from or been treated for
depression, anxiety, or any other mental or mood
√
disorder? (If you have received treatment, please
explain and attach an official medical report.)
Have you ever been addicted to alcohol? √
Have you ever abused any narcotic, stimulant,
hallucinogen or other substance, either legally or √
illegally?
Have you been hospitalized in the last two (2) years? √
Have you had any serious injury, ailment or sickness
√
in the last five (5) years?
My eyes has myopia -0,5 on
Do you have any visual or hearing impairment? √
right and -0,75 on my left eye
Do you have any physical disabilities? √

Do you have any cognitive/mental disabilities? √

Are you taking any prescribed medication? √

Are you on a special diet? √

Are you pregnant? √