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2022 GLOBAL KOREA SCHOLARSHIP

Application Checklist
REGISTRATION NUMBER
Institution Receiving Application (접수기관) :
Person in Charge (확인자) :
Signature (서명) : *Leave this table blank

1) Name of Applicant : Chamba Silva Dayra María

2) Country : Ecuador

3) Desired Program: ☒ Bachelor’s Degree ☐ Associate Degree

□ Checklist (Submission of Documents) Please check (√) in the appropriate box


3 Photocopied
Officially Notarized
Documents
Translation
Type No. Application Documents (Embassy Track only)
YES
NO YES NO
(Kor./Eng.)

1 (form 1) Application Form


2 (form 2) Personal Statement
Documents 3 (form 3) Study Plan
to complete
(Required) 4 (form 4) ONE letter of Recommendation
5 (form 5) GKS Applicant Agreement
6 (form 6) Personal Medical Assessment
Certificate of Graduation/Diploma (or Expected Graduation
7
Certificate)
8 Grade Transcript
Certificates
(Required) Applicant's Proof of Citizenship Document
9
- Birth Certificate or Family Register
*Only Applicant's Parent's Proof of Citizenship Document
10
required for - Birth Certificate or Family Register
relevent * Proof of Overseas Korean Document/Proof of Korean
11
applciants Adoptee Document
*
12 Proof of Korean Citizenship Renunciation Document
*
13 Proof of Korean War Veteran's Descendant
Certificate of valid TOPIK or English Proficiency Test
14
Other (TOEIC, TOEFL, IELTS, etc.) score
documents
15 Copy of Awards and other certificates
(Optional)
16 Applicant's Passport Copy
FORM 1. 2022 Global Korea Scholarship Application
Please check (☒) the following. Click the box to check or uncheck.

1. Application Track 전형 유형
☒ Embassy 공관 전형 ☐ University Track 대학 전형
2. Type of Application/Degree 지원 유형 및 과정
Embassy Track ☒ General 일반 ☐ Overseas Koreans 재외동포
University Track ☐ Bachelor’s (Regional Univ.) 지방계 이공계 ☐ Associate Degree 전문학사
Please complete the form below. It must be typed in English ONLY.

Full Name Gender 성별


성명 Chamba Silva Dayra
full name as indicated on
your passport Maria ☐ Male
☒ Female Photo

Date of Birth 1999/08/23 Country Ecuador Size: 3cm x 4cm


생년월일 국가

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


Applicant ☐ Yes ☒ No
한국국적 여부 (if any of your parents has Korean Citizenship, check ‘Yes’)
Av. Las Américas entre Manuel Jijon
Contact Information
+593978655131
연락처
*Must be applicant’s
Dayramaria.08@gmail.com

Unidad Educativa “ Emiliano Location(City/Country) Catamayo/Loja/


Recently Name 학교명
Ortega Espinoza” 소재국가/도시 Ecuador
Graduated School
Phone 전화 (07) 267-7046 Fax 팩스 2677046 - 2676291
출신 학교
(or expected to graduate)
Mailing Address 주소 18 de Agosto entre Olmedo y Eugenio Espejo
Test Held 회차 English Proficiency Type Score
Language Abilities TOPIK Level ☐1 ☐2 ☐3
Test Scores
어학능력 한국어능력시험성적 ☐4 ☐5 ☐6
영어공인성적
Awards
Choice of University
Other (optional) -e.g. major
& Department University 대학 Field of Study 계열 Department 학과
기타 (세부전공 등)
지원신청대학
Korea University Architectural Architecture
Choice 1 Engneering
Engineering Engineering
Embassy Pusan University Department of
Choice 2 Natural Science Nursing
Track nursing
Kyungpook National University Department of civil
Choice 3 Engineering Civil Engineering
engineering
※ Attention! Please refer to III. AVAILABLE UNIVERSITIES AND DEPARTMENTS in the application guidelines.

 Embassy Track applicants must choose THREE different universities and departments.
 University Track applicants must choose ONE university and department.
 Choose one Field of Study: Humanities, Social Science, Education, Entertainment & Sports, Natural Science,
Engineering, Medicine, Artificial Intelligence (A.I.)
Period 기간 School / Educational Institute 학교명 Country 소재국
Unidad Educativa “ Emiliano
Recently 2016 - 2018 Ecuador
Ortega Espinoza”
attended school
학력

* If needed, you
may add additional
Cumulative GPA (C
High Year 1 year
st
2 year
nd
3 year
rd
columns to the term GPA) Score Percenti
School or semester section. 평균평점 le* 환산점수
Grades (/4.0, /4.3, /4.5, /5.0, / (Required)
(ONLY for Semester 1 2 1 2 1 2 100)
terms or
semesters
completed) Grades 3,66/4 2,80/4 3,14/4 3,14/4 2,89/4 3,74/4 2,94/4 83/ 100
성적
(이수
학기만) Rank / / / / / / / / 100

* Please refer to Appendix A. GPA Conversion Table to convert your CGPA into 100 points scale

Previous Visits to Affiliated Organization


Period Purpose of Stay City or Region
Korea/Current stays in (if any)
Korea
한국 거주 또는
체류 사실

Previously Received Grant Amount 지원금액


Sponsor 지원기관 Period 수혜기간
Scholarship Awards (USD/period)
from Korean
Government or /
institutions
장학금 수혜 /

THE ANSWERS I HAVE GIVEN ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. IF MY
ANSWERS CONTAIN ANY KIND OF FALSEHOOD, I WILL TAKE ANY LEGAL RESPONSIBILITY.

2021/09/17 Dayra Chamba


Date Applicant’s Name (Signature)
FORM 2. PERSONAL STATEMENT
Instructions: Please type in Korean or in English. The essay must be single spaced within TWO pages, with the font
Times New Roman/바탕체/돋움체, size 11. (11 points) The essay should include the following things. Please remove
the instructions after reading it.

They say that life is for those who know how to live it, but no one is born prepared. Life is for those
who are brave enough to take risks and humble enough to learn.

First of all I would like to thank you for taking time and reading about me, I that my life is not as perfect as
others but it is the first time that I write about myself because I am a discreet person. I was born on August
23, 1999 in the city of Loja, I consider myself a humble persona responsible, respectful, hard-working
person, I am not usually the type of person who gets into the lives of others creating problems for them, how
much, I am a person who likes to help others by encouraging them to continue fighting for their goals and
dreams that they have as a purpose and never lose the opportunities that come their way. I usually have a
purpose I strive and fight Until I achieve it, I don't like you leave things by half because I feel bad about
myself and I think about "because I didn't give my best effort." I am the oldest of two brothers, they and my
mother are what help me to continue giving my all, my brothers always tell me that they admire me a lot for
how I am, for everything I've been through in my life and what I keep fighting for up to now.

I was birn when my mother was 15 years old, I know, She was too young although it sounds strange but it
was something eogistic on my part because I stopped studying to be able to dedicate myself to me, she did
not have support or care from anyone even though she has older sisters, my father the Being a university
student, he decided to dedicate himself to his business but never lived with him until now, I don't know
where he will be or what his life will be like, but that was not an impediment for my mother to fight and get
ahead with her daughter, although it is not easy, I will always be grateful to her for everything she did and is
doing for me, I am also proud of her because despite being a mother of 3 children at 36 she decided to finish
her studies, nothing prevented her from doing it, I know that she He always gives everything he has, I never
had a big birthday party like my other friends, I did not dress in the best boutique clothes or get to have the
best toys that a child wanted to have, but what I always had and still have gratefully It is her alive and well,
and for having allowed me to come to this world even though some people did not allow her to.Life is not
easy at all as you think when you are a child but you have to be too strong to be able to face everything that
comes your way when I meet new people at first they tell me that I am somewhat shy to speak, I have always
been like that I like to dedicate myself to my thing, either in the study or at work, when I was studying I
liked to do jobs with people who also wanted to do it, my mother used to tell me that once the rector of my
garden had called her attention because I hit her to a classmate for having taken my food without asking me
first and I am one of the people who does not like that at all. I like to dance is a great secret that nobody
knows except my mother, in my school I was chosen to form a dance group to participate in a contest
representing our school, we proudly won first place as the best dance presented for a while. I left and took it
up again but unfortunately I did not do my best for my studies and problems that I have at home, in my last
years of study it was difficult but not impossible for me to graduate, I had problems with the ex-husband of
My mother could not do homework in the only medium I know was the computer at home, there were days
that she did not allow me to use it, but there were cybers near my school I went hours before entering class
to finish my homework, I had days that I didn't eat anything on because he told me not to eat his food either
and I didn't do it at school either due to my financial situation, I got to the point of trying harder and I started
doing some homework. my classmates to be able to have for my bus tickets I studied in the afternoon and
went out almost at night and it was not safe where I live, I had my savings even my mother helped for the
passage of my brothers and even bought me materials that I needed them, I could not ask her because her
budget was not enough because she had to pay her debts that she had at that time. Shortly after I graduated
from my high school I started working as a babysitter even though my salary was not that good but I did not
mind having a lot, with that little budget I helped my mother with some expenses that she paid since She was
left with all the responsibility after her separation with her ex-partner, I am one of the people who does not
ambition something that she cannot have, I had the same cell phone for years, it was not the modern one as
my friends used to have, but what if I I was able to pay is a small course as a Nursing Assistant which I
could not finish due to the coronavirus I was left without a job and had no way to pay it and at that time it
was hard for my family and for me, my mother was not paid in her work, We barely had enough to eat, we
passed if the internet made me feel bad because I did not know what to do to help my mother and finish
paying my curdso but nevertheless I was grateful because my family was healthy even though my mother
had salt go to her work on certain days.One of my dreams has been to participate in the FIAVL (International
Festival of Living Arts of Loja) event that the city of Loja carries out for anniversary parties and to further
promote tourism, there is a presentation of plays, works of art, I would like to be participant in painting I like
to draw when I have free time. I usually do it. It expresses what one feels and on occasions the drawing does
not usually come out as it should. I keep doing them until it comes out. My role model is Frida Kahlo, a
woman who through her works expressed her own suffering that she had after having had a serious traffic
accident that would leave her bedridden for a long time.

Currently I am working cleaning a house in another city, with the little that I earn I have been saving because
I decided to give myself a small English course which I study every day, however I know that it is not such a
recognized course that they give a very certificate. endorsed because unfortunately I can not pay more. He is
usually a risky person, I like to know and explore new places, I remember when my sister taught at me a K-
pop music from a girl group called Blackpink and I liked her music, it aroused in me a certain curiosity I
investigated her country of origin when she left that came from Korea I was amazed by this country since it
is very advanced not only in the musical field, but also in its culture, its history, its technological advances
and where it stands out is in its field of study it simply amazes that despite the existence of other countries
with the same advanced areas but does not compare to those of Korea, above all, it arouses the interest of
investigating more about it, if one day I had the opportunity to arrive in this country, I would try to visit the
list of places that I have saved for your moment, despite the exotic food that I have, I have made some of
these in my house. People who have the possibilities of going to this country not only go for their music or
want to meet an idol, but also to do so with the purpose of awakening knowledge through its culture, its rich
gastronomy, its history for the which there is much to know and learn, First of all, I am very grateful for
taking a little of your time and knowing a little about me, I know that I do not have the best grades as
requested, nor a certificate that qualifies my level of English, but know that I work and I strive hard to
achieve a new achievement and the most important thing that you know that I will give all my effort to study
and get my university degree, to have a better future and lifestyle not only to show you with words but with
deeds.Remember to eat well and stay healthy.

2021/09/17 Dayra Chamba


Date (yyyy/mm/ dd) Applicant’s Name (Signature)
FORM 3. STUDY PLAN
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.

In our life, when we propose to reach a goal or a goal, we do everything possible to achieve it by striving every
day to improve. English and Korean for me are the languages that people are constantly learning today, whether
for study, work or simply because they want to learn it.

This year I had the opportunity to enroll in a small English course, in order to improve my ability in this
language, being honest in this aspect when I was studying at my school I didn't take much interest in English but
that does not mean that I do not get good grades in this matter, but as time passed I realized how important it is
to learn this language as they say, new opportunities are presented to us on our way, new job opportunities, we
can communicate with people from abroad and we also learn from them, we It also helps in the field of study so
as not to have any kind of inconvenience, even when a foreign tourist arrives in our country to learn a little more
about it, it would help him because he would not have a more reliable way of communicating.

When a person is willing to learn something new first, it is not easy, but after so much effort and practice comes
the reward. My main objectives of studying in Korea are: to get my study degree from one of the careers that I
have been able to choose, and the main one for me would be to learn the Korean language by making an effort
every day to achieve my high topik, I know that for some people it is difficult to learn it, but with dedication and
effort everything can be done.

The methods used for me when I have wanted to learn a language and understand it better would not only be
watching movies, k-dramas or listening to K-pop music, it could be practiced in our daily lives making friends
who speak this language, searching Internet pages, reading articles or news and even watching videos on
YouTube about interviews with idols.

When there was the confinement at home due to the coronavirus, I decided to have a little knowledge about
Korean and I learned Hangul, my most effective method was singing it and repeating it in a draft notebook,
seeing how it is written, I learned to write My name and other people, I can even say some words in Korean, I
know that for those who already know the language these little methods are somewhat easy but for those of us
who are just starting out it is a great help based on small study methods and thank you To these I have more
knowledge about the language, those are the ones using the future to learn more and looking for new ways to do
it because my goal is to reach topik 5 and I will give all my effort to get it, as I always say that people We must
not give up easily, we must fight for what we want, so we really yearn and not rest until we see that we have
reached the end of the whole tunnel that we go through.

Goal of study &


o Goal of study and detailed study plan
Study Plan
If our dream is to be someone in our life, and we propose it many times, open comments like You? Do you
really think you can? Won't you make it? we just have to ignore all those comments and above all trust us.

Since my childhood I have always been a person who likes to explore, learn about new things and learn from
them. From there it began to awaken in me a certain interest in Medicine and Engineering.

In the part of medicine I focus on nursing, before I was afraid of needles since my mother would take me every
month for my vaccine and as time went by I wondered how long it would take the nurses to learn everything
they did, How many hours did they spend without sleeping all to get their degree and as they gradually
investigated them and admired everything they did because they were passionate about it, because of that
admiration I had, I wanted to try it, I followed my Aux course. I studied a lot in Nursing, I did my respective
internships, I put all of myself in that course, but unfortunately I couldn't finish it due to my financial situation.

But my trajectory is not based on studying only that, I also had another perspective Engineering, I used to
wonder about the knowledge and improvement that people have to satisfy the needs and solve technical
problems of both people and society, as in the Ancient Egypt made the pyramids and in ancient Greece the
Paternon are structures that stand out as a testament to the inventiveness and skill of ancient civil and military
engineers.

One as a student when entering the University has a greater responsibility which must be developed with their
own capacity and with it a set of competencies and abilities to be able to correctly assume the responsibilities of
our professional and work life. In my perspective I always wanted my school to contain several study groups but
due to their lack of organization they did not. For this reason, he made me investigate in depth that there were
other countries with an advanced level of study and that is how the attention was called South Korea, being this
one of the world's leading financial centers, technologically advanced, and with its prestigious universities with a
ranking of high study such as: Korea University, Pusan National University, Kyungpook National University are
the ones that caught my attention because they have different fields of study, research areas.

If I got my scholarship in one of these universities I would like to be participate in some of the campuses that
they offer, in different extracurricular activities, it would not only be in the form of study but to live together,
meet more people, exchange ideas and help each other to achieve a great bond of friendship, I would participate
in fairs, if it came to the case of having sports I would participate proudly since in this aspect I consider myself
too good either in basketball and soccer, but in the case of having another type of sport I would also participate ,
as in the artistic part I would try, the reason is that if I had the possibility I would be able to be in everything that
is presented because one as a person has to experience a little of everything.
Future Plan
o Future plan in Korea or another country after study in Korea
after Study

My idea of going to study in another country would not be to presume that I obtained my degree in another
country and therefore I would become superior to others, rather it would be like a test that I proposed to myself
to show how much I am capable of doing to achieve my goal.

My goal to do when I finish my studies if I ever won the scholarship would be to first thank my family for
supporting me at all times, thanking the people who welcomed me in their native country such as Korea and for
taking care of My, if in the course of my studies I made new friends, I would also appreciate them since with
them I would learn and explore new things.

If I had the opportunity to find some type of job in Korea that is related to my career, I would accept it without
thinking because I would like to continue learning more about subjects that I do not know and even get to
contribute a little of myself about my point of view and so on. thus exchanging new knowledge among workers.
But nevertheless, if I returned to my native country, I would be able to bring new expectations and create new
ideas about everything that I have learned from that country. However, between these two countries they created
a great bond of friendship supporting each other, as did Ecuador, offering its support in the reconstruction
process of Korea after the war, and thus between these two countries, it will grow in the future either in the field
of health. , political and economic.

However, these two countries prepare the young people of the future so that there is an international educational
exchange and that friendship relations between them be strengthened.

And I would also like to make known about its rich cuisine, its history and great variety of cultures that this
country has that I had the opportunity to know, and therefore that this in my country does not mean that I do not
return to Korea, not like student, if not as a proud tourist of having learned wonderful things about that country.

They may say that there is little that I have come to relate about my Study Plan, but what I would like is for you
to know that everything I wrote was with all my sincerity and above all with things that I will fulfill responsibly
as a student, and I would not invent stories false saying things that I would not fulfill

Instructions: Please type in Korean or in English. The essay must be single spaced within TREE page, with the font
Times New Roman/바탕체/돋움체, size 11. (11 points) It is advised that you discuss your academic goals and plans
with your teacher before filling out this form. Please remove the instructions after reading it.

2021/09/17 Dayra Chamba

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


FORM 5. GKS APPLICANT AGREEMENT

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

(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 the degree 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. ☒
(10) I will abide by the academic regulations and requirements of NIIED, Korean
language institution, and university. ☒
(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. ☒
(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 recommenders 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. ☒

(continued in the next page)

「National Institute for International Education (NIIED)」 intents to collect and use
your personal information including disclosure to third parties for the GKS selection, based
on the 「Personal Information Protection Act」 and its provisions. We will use the collected
data only for its intended purpose and inform the user for an agreement whenever the
purpose of information collection is changed. Please provide us whether you agree or not on
the terms of personal data collection and usage after referring to the information below.

Agreement on Collection and Use of Personal Data


①② NIIED collects and uses the applicants’ Personal Information; and is able to provide such information for a third
party in accordance with NIIED policy and regulations.
-
Personal Information Collected : name, date of birth, sex, nationality, contact information, TOPIK
score, career and educational record, university information applied, and language proficiency
- Purpose: Selecting GKS Scholar
- Retention Period : 5 year
③ If you do not approve our collection and use of your personal information, you have the right to refuse to the use
of personal information mentioned above. However, due to your refusal, your application may be excluded in the
selection procedure.

Agree Disagree

Agreement on Collection and Use of Sensitive Information

① NIIED collects and uses the participants’ Sensitive Information; and is able to provide such information for a
third party in accordance with NIIED’s policy and regulations.
- Sensitive Information Collected : Medical information
- Purpose: Selecting GKS Scholar
- Retention Period : 1 year for hard copy / 20 years for soft copy
② If you do not approve our collection and use of your personal information, you have the right to refuse to the use
of personal information mentioned above. However, due to your refusal, your application may be excluded in the
selection procedure.

Agree Disagree

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.

2021/09/17 Dayra Chamba

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

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