but in terms of binding the list box to a field in a table - then its single value only
a multi value list box has vaildiity with unbound data
say you have a list of US states - you want to select certain states, and then use these to process selected data. but you cant save these multi-values in a single field
(having said all this, maybe you can do what you want in A2007, as they now have multi-value fields i think - trouble is, its non-relational so its not something we would expect to be able ot do)